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CHRISTY S. JACKSON, PH.D., LLC
NPI 1033779533
Psychologist - Clinical in Durham, CT

Active since June 17, 2019

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christy S. Jackson, Ph.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTY S. JACKSON, PH.D., LLC (NPI 1033779533) is a healthcare organization registered as a clinical in Durham, Connecticut and active in the NPI registry since June 2019. The organization lists Christy S Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033779533
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCHRISTY S. JACKSON, PH.D., LLC
Location Address352 MAIN STDurham, CT 06422-1645
Mailing Address502 Cypress RdNewington, CT 06111-5618 · (860) 301-0053
Phone(860) 266-6467
Organization SubpartNo
Authorized OfficialChristy S JacksonOwner · (860) 266-6467
Enumeration DateJune 17, 2019
✔ NPI 1033779533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
352 MAIN ST, Durham, CT 06422
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOURISH BY GINA LLC
Dietitian, Registered
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (203) 206-3873
DADON MOORE
Acupuncturist
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 336-6933
EVOLVE HOLISTIC THERAPY LLC
Social Worker (Clinical)
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 464-4600
GINA BARBETTA RD
Dietitian, Registered
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (203) 206-3873
MICHELLE PELLIN MS MA LPC LLC
Community/Behavioral Health
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 805-7819
OPEN MINDS COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
352 MAIN ST
DURHAM, CT 06422
Lower Connecticut River Valley Planning Region (860) 245-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christy S. Jackson, Ph.D., LLC's NPI number?

The NPI number for Christy S. Jackson, Ph.D., LLC is 1033779533. It was assigned to this organization in the NPPES registry on June 17, 2019.

Where is Christy S. Jackson, Ph.D., LLC located?

Christy S. Jackson, Ph.D., LLC is located at 352 Main St, Durham, CT 06422. The listed phone number is (860) 266-6467.

What is Christy S. Jackson, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Christy S. Jackson, Ph.D., LLC was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.